TY - JOUR
AR - SCR-2021-6-105
TI - Spinal Tumor Resection with Intraoperative Computed Tomography Navigation in Tumor-Induced Osteomalacia: A Case Report
AU - Koichi , Endo
AU - Hideyuki , Arima
AU - Tomohiko , Hasegawa
AU - Yu , Yamato
AU - Go , Yoshida
AU - Tomohiro , Banno
AU - Shin , Oe
AU - Yuki , Mihara
AU - Hiroki , Ushirozako
AU - Tomohiro , Yamada
AU - Yuh , Watanabe
AU - Koichiro , Ide
AU - Keiichi , Nakai
AU - Kenta , Kurosu
AU - Yukihiro , Matsuyama
JO - Surgical Case Reports
PY - 2021
DA - Fri 11, Jun 2021
SN - 2613-5965
DO - http://dx.doi.org/10.31487/j.SCR.2021.06.05
UR - https://www.sciencerepository.org/spinal-tumor-resection-with-intraoperative-computed-tomography-navigation_SCR-2021-6-105 
KW - Tumor-induced osteomalacia, spinal tumor resection, intraoperative computed tomography navigation, phosphaturic mesenchymal tumor, fibroblast growth factor 23
AB - This is the first report using intraoperative CT navigation for Tumor-induced Osteomalacia (TIO) lesions of the spine. TIO is a rare paraneoplastic disorder caused by tumors secret Fibroblast growth factor 23 secreted by tumor tissue. Surgical resection of the main tumor is the only definitive treatment. However, the tumor is usually small, and it hard to find it, and it tends to be seen when the recurrence is caused by the difficulty of whole tumor resection. A 57-year-old woman presented with a rare case of TIO located in T10 vertebra body. Using the intraoperative CT navigation, we resected the tumor in the T10 vertebral body very effective for accurate localization of the tumor and helpful for guidance of resection area and confirmation for excision of tumor. As a treatment for TIO, we report a tumor resection with intraoperative computed tomography navigation that made it possible to resect tumor in T10 vertebrae precisely and safely, which is small and difficult and dangerous access.